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NPI Code Detail

MEDICARE: MRS. GLORIA JORDAN PEREZ DO

MEDICARE: MRS. GLORIA JORDAN PEREZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianOS16861FL
2207VX0000XObstetrics Physician16861FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11942660410OTHERFLNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942660410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GLORIA JORDAN PEREZ DO
Provider Business Mailing Address
First Line : 8812 LAKE GLONA CT
Second Line :
City : CLERMONT
State : FL
Zip : 34711-8332
Country : US
Telephone Number : 352-516-2629
Fax Number :
Provider Business Practice Location Address
First Line : 1900 DON WICKHAM DR STE 130
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1979
Country : US
Telephone Number : 352-241-7050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2016
Last Update Date : 04/14/2026

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Directions to “ MRS. GLORIA JORDAN PEREZ DO” Practice Location

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